Health Service Management of Diabetes

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Table of Contents

Intervention
The Inter-Professional Team
Characteristics of Professionalism
Person Centred Practice Strategies
Professional Development
References

Fay is a man of age 34 who works for a construction company. He is a smoker. Being an unskilled laborer, he has been deployed in the housebuilding sector where he assists the masons in such activities as ferrying building stones and bricks to the site. It was noted that Fay becomes extremely worn out while executing the tasks. During the task, Fay makes a countless number of short calls and often takes water irrespective of the time of the day or the prevailing weather conditions.

Fay has impairments as his body functions are distorted. Once the human body develops diabetes, it follows that a person will regularly experience increased hunger, increased urination as well as an increased desire to take water (Beckles, 2008; White et al., 2010). Notably, Fay’s participation is quite inappropriate as he experiences activity limitations and participation restrictions.

According to site managers, his participation is not adequate. His workmates are not aware of his condition and they often make fun of him whenever he makes short calls and demandingly seeks water. While sometimes he develops a violent nature against his workmates for making fun of him, he complains of being side-lined and therefore becomes depressed.

Intervention

The future of a diabetic person who has ignored medication is usually hit by serious complications (Egede et al., 2002; D’Antonio & Lewenson, 2010). If the condition is ignored, it follows that a person can also experience non-ending complications such as ketaocidiosis, hypoglycaemia and hyperosmolar coma among other complications.

Fay is suffering from diabetes mellitus and as such, an intervention is required. According to medics, the best intervention for diabetes is Nursing Intervention. Nursing intervention can be described as actions that a nurse undertakes in an effort towards furthering treatment for a patient. The targeted ICF aspects include the development of the patient’s participation (i.e. participation in activities to help in blood circulation and controlling the mood through engaging the patient in exciting events). In other words, nursing intervention helps improve environmental factors.

However, while nursing intervention is regarded as the most effective intervention for diabetes mellitus, there are risks that are associated with it. Thus, a diabetic person is known to be short-tempered and can get aggrieved by petty things (Wendy & Votroubek, 2010).

Since the risk of violence for the diabetic patient cannot be completely eliminated, it is necessary that mitigation strategies be identified (Wagner, 2001). One of the main violence mitigation strategies is as follows: the caregiver can make attempts of decoding communication patterns that are seemingly incomprehensible. In addition to this, the health care professional can seek both clarifications as well as validation from the patient.

Apart from this, the health care practitioner can orient the patient to reality as it is required with regard to all medical cases. In this strategy, the medical practitioner is required to call the patient by his name. Further, the caregiver is required to validate the communication aspects that are said to assist in differentiating the real from the unreal (Chalmers, 2007).

These strategies give a revelation on how other people perceive the patient, while the mandate of not comprehending their behaviour is readily accepted by the nurse. Also, the strategies, in some cases, help in restoring the patient’s functional communication patterns (Juall & Moyet, 2008).

The Inter-Professional Team

Physical health care providers also play a big role in giving care to diabetic patients. They work hand in hand with nurses in an effort towards trying to maintain or even restore the normal conditions of a person with diabetes. They are essential in the care process as they usually take the vital responsibility of engaging the patient in activities, both psychological and real time activities. The physical health providers, by involving the patients, help improve their body systems through blood circulation. Light activities are ideal as they help in proper circulation of blood in the body (Smith, 2000).

In addition to this, the Physical health care providers engage people with diabetic activities in light as well as exciting activities and as such, apart from improving the blood circulation, the diabetic people are able to overcome their short tempers (Peters, 2006). Through such an activity, the patient is usually immersed in the captivating nature of the activity and therefore, there will be no situation where the patient will develop temper.

Eventually, the patient can become more responsive and more active. Indeed, the patient will be craving for another day to become engaged in such activities and in the long run, the physical health care provider will have achieved his/her goal. Therefore, the patient’s participation can improve in a great way with regard to his body functions through these activities (Hall, 2008). Admittedly, physical health care provider can help the patient improve contextual factors (environmental as well as personal factors).

Characteristics of Professionalism

Professionalism is a term describing conduct and qualities that a profession should show. Medical care requires a high level of professionalism. Irrespective of whether faced with a difficult situation or not, a professional needs to maintain his poise. When conducting any kind of intervention on a diabetic case, a care giver should remember that it is a patient he/she is dealing with.

The professional ought to keep in mind that the patient is at times violent and as such, the care giver should not react violently to any violent sign or attack on him/her. Instead, the professional should maintain his/her calm and engage the patient in activities that will not offend the latter (Matt, 2002).

Adherence to a stricter code of ethics is a must for health care professionals. Regardless of whether a company has written codes or not, it is recommended that ethical behaviour should be exhibited. In nursing intervention, a medical practitioner should not at any time disclose unfolding information regarding the patient to a third party. However, he/she can disclose to the family members upon confirmation of the information (Beardsley, 2006).

Finally, reliability can also be regarded as one of professionalism characteristics. The society usually looks upon a professional to execute a job. As such, he/she is supposed to act in a prompt manner while ensuring that he/she keeps the promises timely. In nursing intervention, it is necessary that the nurse executes his/her duties well and ensure that the desired results are achieved (Matt, 2004).

In addition to this, a medical professional, during intervention, must be able to timely be getting the care process done and as such, he/she should not hold the patient in the care facility for a long time unless the patient’s condition has deteriorated and further care is necessary (Campbell & Bennett, 2002).

Person Centred Practice Strategies

Person centred practice is a term commonly used to describe a combination of approaches that are established in order to assist an individual (Nichols, 2007). One of the most effective strategies in terms of person entered practice is listening. In this strategy, the focus is usually on the patient and as such, the focus is on what the patient perceives to be important to him/her. In addition to this, the strategy makes an enquiry on how the patient lives (Solberg, 2007).

The health care professional should be able to listen to the patient, asking proper questions about physical conditions as well as life, emotions, relationships with others, etc.

One more strategy is team collaboration. Thus, the team of several health care professionals (nurse, physical health care provider, etc.), the care giver(s) and the patient should collaborate to work out a specific plan (Wilensky, 2004). This plan will include all meaningful details. Admittedly, the plan will be effective as all important details will be taken into account. This strategy is ideal as it ensures development of plans where the diabetic person as well as the caregiver can think together. Thus, the caregiver is able to introduce the necessary changes that will help restore the normal condition.

Professional Development

On-going education is a vital aspect for professional development. Educational activities usually come after formal training. Educational activities assist a person to maintain and develop knowledge, develop problem solving skills. It also expands a person’s technical skills. Health care professionals also learn progressive professional standards of performance (Norris et al., 2006).

Notably, training courses are not the only way to develop. Health care professionals should attend various workshops and conferences. Sharing experiences is an important part of any learning. Besides, it is necessary to acquire knowledge in diverse spheres. Thus, nurses should not attend courses for nurses only. It is important to be able to collaborate in inter-professional teams. Therefore, it can be effective to learn more about different health care services provided.

Mental discipline strategy is also essential as it helps a professional focus on the goals irrespective of whether he/she is experiencing hardships or uncontrollable events or not. By focusing on the goals, a person is able to develop since when he/she encounters hurdles, he/she is able to find ways to overcome them and therefore, he becomes familiar with ways to handle diverse problems. Thus, mental discipline development is a very effective strategy (Bagchi & Sreejayan, 2012).

References

Bagchi, D., & Sreejayan, N. (2012). Nutrition and therapeutic interventions for diabetes and metabolic syndrome. Waltham, MA: Academic Press.

Beardsley, R. S. (2006). Chair’s report of the APhA-ASP/AACP-COD task force on professionalization: Enhancing professionalism in pharmacy education and practice. Am. J. Pharm. Educ, 60(3), 26-28.

Beckles, G. L. (2008). Population-based assessment of the level of care among adults with diabetes in the U.S. Diabetes Care, 21, 1432-8.

Campbell, R. K., & Bennett, J. A. (2002). Assessing diabetes patients’ health care needs. Diabetes Education, 28(4), 49-50.

Chalmers, R. K. (2007). Contemporary issues: Professionalism in pharmacy. Tomorrow’s Pharmacist, 5(4), 10-12.

D’Antonio, P., & Lewenson, S. (2010). Nursing interventions through time. London, UK: Springer Publishing Company.

Egede, L. E., Zheng, D. & Simpson, K. (2002). Comorbid depression is associated with increased health care use and expenditures in individuals with diabetes. Diabetes Care, 25(8), 464-70.

Hall, R. H. (2008). Professionalization and bureaucratization. Am. Soc. Rev, 33(2), 104.

Juall, L., & Moyet, C. (2008). Nursing diagnosis: Application to clinical practice. New York, NY: Lippincott Williams & Wilkins.

Matt, D. (2002). Clinical practice guidelines for treatment of diabetes mellitus, expert committee of the Canadian diabetes advisory board. Canadian Medical Association Journal, 147(5), 19-92.

Matt, D. (2004). Nutrition recommendations and principles for people with diabetes mellitus. American Diabetes Association, Diabetes Care, 17(5), 14.

Nichols, K. K, (2007). Diabetic eye examination report. Optometry, 78(11), 588-95.

Norris, S. L., Chowdhury, F. M, & Van Le K. (2006). Effectiveness of community health workers in the care of persons with diabetes. Diabetes MED, 23(5), 44-56.

Peters, A. L. (2006). Quality of outpatient care provided to diabetic patients: A health maintenance organization experience. Diabetes Care, 19, 601-6.

Smith, M. C. (2000). Implications of ‘professionalization’ for pharmacy education. Am. J. Pharm. Educ., 34(5), 16-32.

Solberg, L. I. (2007). Crossing the quality chasm for diabetes care: The power of one physician, his team, and systems thinking. J Am Board Fam MED, 20(3), 299-306.

Wagner, E. H. (2001). Effect of improved glycemic control on health care costs and utilization. JAMA, 285(9), 182-9.

Wendy, L., & Votroubek, A. T. (2010). Paediatric home care for nurses: A family-centred approach. Burlington, MA: Jones & Bartlett Publishers.

White, L., Duncan, G., & Wendy, B. (2010). Foundations of adult health nursing. Belmont, CA: Cengage Learning.

Wilensky, H. L. (2004). The professionalization of everyone? Am. J. Soc, 70(4), 137-146.

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